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EVERET�i, WASH. <br />The Undersigned � '-' `''-' - r' ` 1 � � <br />Hereby upplies for permission to -�-�� ��^i <br />� . - ,� • <br />�—_�- <br />.../,1::_-�. <br />� , _. _ ; - . � i <br />At the following location - �="- . <br />SKETCH <br />IWork to be donel <br />��: <br />� � r� <br />` _ - _cDGF o' PF'J�r�_ __ — _ � <br />—�rrri �T <br />N� <br />S�A�E <br />312q <br />The undersigned owner hereby agrees to hold and save harmlezs the Cily of <br />Everett from any and all claims for damages Ihot may arise because of the <br />installalion and maintenonce of the improvemenl hereto applicd for and <br />forlher agrees to remove same upon notice from Ihe Cily and fo replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCAIE <br />�-- �L I � <br />I�� LIP � <br />30" .T.3� � <br />/Z-2-7- 73 <br />�ir� G(t�CK�D iC�-3-73 <br />Dale <br />��:,�1 , �erir,� !� pt. i59���t�.y; <br />:9 Nours 4efore <br />r. ,�stturticn Is started. <br />_ J�. <br />io� _ <br />` lVOTE <br />C?�CC!( 1N�7H WATLR <br />�,.?i. FOR bVATEB LIN�: <br />�: _ . . <br />/NSrqLL <br />12 �� CdNC 2E i"� <br />�uLVEfc'7' <br />,0-9- �3 <br />Dale Approved <br />� <br />—� <br />��� �.� -- -- �1 <br />d <br />Yariance Required <br />Yes.............. _ _ . . . _... <br />No._. _.___.__....... <br />'� <br />�- <br />� , <br />i/ �- <br />`-:, /, <br />./�..�C'%L�'C� , LC�r ..<�._. <br />' $ignafu�e ol 'pplicanf <br />-� / / <br />l��c��'�._ 7�__' J. �<;. <br />Address <br />��� �J �_y � �i�) <br />7elephone Number <br />� ? S` - � 3 <br />Dafe ,�y;�Jf�� �'� <br />8 / � , �. �. � <br />��{` lJ Lt'z f /'}��� �- Fee <br />/J -`/— "!3 <br />Engineers <br />Water_ <br />; � Sireet � <br />Tmffic ' ' `� <br />Plannin � ' � , <br />9 �= <br />,x' C� �.i ,`,-r.: � : i.. ., ; . <br />i <br />I ;'itU;=EF< lll„',��,�� ;�.. I <br />� <br />� <br />/D-S= <br />